GULF COAST HMA PHYSICIAN MANAGEMENT LLC
NPI 1114695087
Orthopaedic Surgery in Venice, FL

Active since September 03, 2021
836 SUNSET LAKE BLVD STE 102, VENICE, FL 34292(941) 497-1771(941) 497-1860 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gulf Coast Hma Physician Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULF COAST HMA PHYSICIAN MANAGEMENT LLC (NPI 1114695087) is a healthcare organization registered as an orthopaedic surgery in Venice, Florida and active in the NPI registry since September 2021. The organization lists Jennifer L Jackson, Sr Dr Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1114695087
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameGULF COAST HMA PHYSICIAN MANAGEMENT LLC
Location Address836 SUNSET LAKE BLVD STE 102Venice, FL 34292-7555
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Fax(941) 497-1860
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dr Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1114695087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
836 SUNSET LAKE BLVD STE 102, Venice, FL 34292

Other Names 1

Doing Business AsGulf Coast Hma Physician Management Llc

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
836 SUNSET LAKE BLVD STE 102
VENICE, FL 34292
Orthopaedic Surgery (Sports Medicine)
836 SUNSET LAKE BLVD STE 102
VENICE, FL 34292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Coast Hma Physician Management LLC's NPI number?

The NPI number for Gulf Coast Hma Physician Management LLC is 1114695087. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Gulf Coast Hma Physician Management LLC located?

Gulf Coast Hma Physician Management LLC is located at 836 Sunset Lake Blvd Ste 102, Venice, FL 34292. The listed phone number is (941) 497-1771.

What is Gulf Coast Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Hma Physician Management LLC was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.